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Exploring repositioning movements in sitting with 'at risk' groups using accelerometry and interface pressure mapping technologies

Stinson, May and Porter-Armstrong, Alison (2017) Exploring repositioning movements in sitting with 'at risk' groups using accelerometry and interface pressure mapping technologies. Journal of Tissue Viability, n/a . [Journal article]

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DOI: 10.1016/j.jtv.2017.11.001

Abstract

Background: Despite high quality guidelines underpinning pressure ulcer care (EPUAP/NPUAP/PPPIA, 2014), pressure ulceration still poses a significant financial impact on health care services in treatment and staff costs as well as having a profound effect on the health and quality of life of individuals experiencing them. Repositioning is a key preventative technique recommended by occupational therapists and other health care professionals. The frequency and quality of repositioning movements performed by individuals, however, can be difficult to determine. This paper explores the use of technology in monitoring repositioning movements in sitting. Objective: To explore the outputs of technologies such as interface pressure mapping systems and accelerometers in enabling the therapist to accurately monitor seated behaviour and enhance practice through targeted interventions to prevent sitting acquired pressure ulceration. Method: Reviewing the findings of two recent research studies with ‘at risk’ cohorts (spinal cord injury; elderly orthopaedic), using accelerometry and seated interface pressures, this paper will highlight how useful this technology is in clinical practice to monitor weight shifts and repositioning behaviours. Result: Both studies illustrated that the majority of individuals did not adhere to the frequency or magnitude of movements currently recommended to redistribute seating interface pressures. When repositioning was performed it was ineffective in reducing seated pressures. Conclusion: In an era of personalised medicine, technology has an important role to play in providing the service user, caregivers and healthcare staff with important biofeedback information about seated behaviours, particularly those that minimise the risk of developing sitting acquired pressure ulcers. This information can augment occupational therapists’ clinical decision-making in maximising active pressure ulcer prevention.

Item Type:Journal article
Keywords:technology; occupational therapy; pressure ulcers; repositioning; sitting
Faculties and Schools:Faculty of Life and Health Sciences
Faculty of Life and Health Sciences > School of Health Sciences
Research Institutes and Groups:Institute of Nursing and Health Research > Centre for Health and Rehabilitation Technologies
Institute of Nursing and Health Research
ID Code:39041
Deposited By: Dr May Stinson
Deposited On:28 Nov 2017 11:33
Last Modified:14 Nov 2018 23:23

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